Tongue and Lip Tie

Breastfeeding Signs of a short frenulum (Tongue-Tie) and or a lip tie

The baby may have some or all of the following:

  • A poor latch- the latch may be shallow and baby doesn’t stay on the breast.
  • Mom reports a “chewing” or “chomping” sensation
  • The baby sucks hard with high vacuum
  • Starts and stops during the feed
  • There is little jaw action or “ear wiggle”
  • Unable to keep a seal and clicking noises may be heard
  • Gassy and or fussy
  • Leaks milk
  • feedings take a long time

Mom may report:

  • Creased, blanched (white) or flattened nipples (looks like a lipstick)
  • Cracked, bleeding, bruised or blistered nipples
  • Breasts don’t seem to be emptied
  • Severe pain with initial latch
  • Infected nipples or thrush
  • Plugged ducts
  • Mastitis


Do all pediatricians and lactation consultants know about tongue and lip ties?

This article explains it best. But the short answer is no, they do not all know about tongue and lip ties.
I was able to attend a three day conference in Florida in June 2013. This conference was put on by the International Affiliation of Tongue-Tie Professionals (I.A.T.P). This conference had a wealth of information and also connected me with other professionals in the valley that treat individuals with tongue and lip ties.
I am able to assess the appearance and function of the tongue and lip. There are several professionals, including a pediatrician and dentist, that I refer to if your child needs a procedure, called a frenectomy, that releases the tongue and lip. I am also able to work with mom and baby to learn how to properly latch after a frenectomy.

Is breastfeeding the only time that it matters if a child is tongue or lip tied?

There are other potential problems that may occur if the tongue and/or lip is not released.5

  • Nutritional problems- Colic
  • Reflux
  • Drooling
  • Gagging
  • Sleep Apnea
  • Speech problems
  • Jaw growth and abnormalities
  • Dental caries